12

FIRST SCHEDULE.

FORM I.

MINING (GENERAL) REGULATIONS, 1954.

Application for a Prospecting Liomce.

[reg. 5.]

FORM II.

13

MINING (GENERAL) REGULATIONS, 1954.

Application for a Mining Lirexre.

[reg. G.]

To the Superintendent of Mines. Number of application

(To be filled in by Mines Department).

To the Superintendent of Mines.

Number of application

(To be filled in by Mines Department).

1. Name of applicant.

2. Nationality of applicant.

3. Number of identity card.

4. Address at which notices may he

served.

5. Whether the applicant intends to prospect on his own account or as on employee of any other person.

6. (1) If he is in the employ of any other person, state the name, nationality and address of such person.

(2) If the application is made by an employee evidence of the employer's consent to the application.

pre-

7. Whether the applicant has

viously made an application for a prospecting licença, and, if whether any such application was refused,

80,

8. A plan of the area he intends to

prospect.

>. The minerals he intends to prospect

for.

Dated the

day of

19

1. Name of applicant.

2. Nationality of applicant,

3. Number of identity card.

4. Address at which notices may be

served.

5. Number of applicant's prospecting

licence (if any).

6. Name of the company, firm or person (if any) which the applicant represents.

7. Position or appointment held by appleant in relation to, or under, such company, fra or person.

8. Whether the area included is within

the area of a prospecting licence.

9. Whether the area has been pros- pected by the applicant and if so, for what period and with what results.

10. The mineral or minerals to be

mined.

11. Plan of the area covered by this application for a mining licence.

12. In the case of a company, a copy of the memorandum and articles of association must be lodged with the Superintendent of Mines, giving the following detalls—

(e) Name of company (if any). (6) Name, nationality and descrip- tion of members or directors (if any).

[e} Amount of uominal capits) sub- and cash working

Acribed

capital

(d) Address at which notices may

be served.

T

(Signature of Applicant).

Dated the

day of

*

19

(Signature of Applicant),

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